$134.00–$151.95
Q4402 identifies Xwrap 2.0; Q4403 identifies Xwrap Dual Plus. Select the code for the product actually furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4403 Wound product Medicare reimbursement rates in Massachusetts
Report Q4403 for each square centimeter of Xwrap Dual Plus furnished with a wound application procedure when that specific product is used. Compare Q4403 office and facility rates across CMS payment localities in Massachusetts.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q4403 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$134.00–$151.95
2 of 2 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care supply
About Q4403: Xwrap Dual Plus wound product
Report Q4403 for each square centimeter of Xwrap Dual Plus furnished with a wound application procedure when that specific product is used.
Q4403 identifies Xwrap Dual Plus furnished by the square centimeter for wound coverage with a skin-substitute application. It reports the product, not wound preparation or placement. Wound-care physicians, podiatrists, and surgeons may use it in outpatient wound clinics and other settings where a wound is treated. Select this code based on the product actually applied; a similar product name does not make another product code interchangeable.
Report the quantity in square centimeters and pair Q4403 with the applicable primary wound-application procedure. CMS classifies it as an add-on code, with payment included within that primary procedure’s global period. The code represents the technical component; a separate code covers interpretation. Documentation should identify Xwrap Dual Plus, the wound location and measured area, the quantity applied, and the primary procedure. CMS assigns practice-expense value without work or malpractice RVUs.
CMS billing rules for Q4403
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Q4403 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$134.00–$151.95
Q4404 identifies Xwrap Hydro Plus, not Xwrap Dual Plus. The product name on the documentation determines which code applies.
$134.00–$151.95
Q4405 identifies Xwrap Fenestra Plus. Use Q4403 when the product applied is Xwrap Dual Plus.
Compare Q4403 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$151.95
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$134.00
Facility
Unavailable
Need rates for a whole code list?
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Q4403 billing questions
How is Q4403 distinguished from other Xwrap codes?
Use Q4403 only when the product furnished is Xwrap Dual Plus. Other Xwrap product names, such as Xwrap 2.0 or Xwrap Hydro Plus, have separate codes.
Can Q4403 be reported by itself?
No. CMS identifies it as an add-on code, so report it with the applicable primary wound-application procedure.
How should the quantity be reported?
Report the quantity in square centimeters. Document the treated area and the amount of Xwrap Dual Plus applied.
Does Q4403 include interpretation?
No. It is a technical-component-only code; a separate code covers interpretation.
What should the record support?
Document the product as Xwrap Dual Plus, the wound location and measured area, the quantity applied, and the paired primary procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,485Q4400,,Polygon3 per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,486Q4401,,Absolv3 per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,487Q4402,,Xwrap 2.0 per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,488Q4403,,Xwrap dual plus per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,489Q4404,,Xwrap hydro plus per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,490Q4405,,Xwrap fenestra plus sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,491Q4406,,Xwrap fenestra per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00